Comparative Study about Effectiveness of the Care Systems : Japan, Sweden UK and Germany

日本、瑞典、英国和德国护理系统有效性的比较研究

基本信息

批准号：
10041089
负责人：
TAKEDA Hiroshi
金额：
$ 9.79万
依托单位：
Osaka Prefecture University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (A).
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2000
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10041089/
关键词：
Security of Care Care Insurance Effectiveness Care Management Welfare State Comparative Study Relationships between public and private systems 保健・医療・福祉の連携民間委託

项目摘要

Our research project aimed to discover the elements of effectiveness of the Care Systems. To do this task, we investigated the Care Systems of Sweden, United Kingdom, Germany, and compared those of our country. The points of our research are as follows.In Sweden, Care Systems has been reorganizing in 1990s, under the so called 'Adelreform.' We investigated those including the housing standard and informal care. In UK, we investigated the reorganization of care services ; National Health Services, local authorities and voluntary organizations. We noticed the importance of the eligibility criteria of services, standard of care workers and the connection between cash and in-kind services. In Germaner, we also got information about the reorganization of the training systems and standard of care staffs, under the social long-term care insurance.We arranged our research results concerning the effectiveness of the Care Systems as follows.In general, we followed the comparative study of welfare state and care policy.In addition, we stressed the elements to our comparative study reults ;(1) medical care and social care, (2) public relationship between central and local government, (3) welfare pluralism, (4) responsibility of local authorities to delivering services and its quality, (5) standard, training systems and work conditions of care staffs, (6) standards and ways of the decision for dependency, (7) informal care and their activities, (8) relationship about paying for the costs, (9) characters of the care security systems (service provision or in-kind), (10) condition of home and residential care.

我们的研究项目旨在发现护理系统有效性的要素。为了完成这项任务，我们调查了瑞典，英国，德国的护理系统，并比较了我们国家的护理系统。我们的研究的观点如下。在瑞典，在所谓的“ adelreform”下，护理系统一直在1990年代进行重组。我们调查了包括住房标准和非正式护理在内的人。在英国，我们调查了护理服务的重组；国家卫生服务，地方当局和志愿组织。我们注意到服务的资格标准，护理人员标准以及现金与实物服务之间的联系的重要性。在《埃文》中，我们还获得了有关培训系统和护理人员的重组的信息，在社会的长期护理保险下。我们安排了有关护理系统有效性的研究结果。一般来说，我们遵循了福利国家和护理政策的比较研究。此外，我们对比较研究的元素强调了我们比较研究的元素；（4）地方当局有责任提供服务及其质量，（5）标准，培训系统和护理人员的工作条件，（6）依赖决定的标准和方式，（7）非正式护理及其活动，（8）有关支付费用的关系，（9）护理安全系统（服务提供或内部或内部护理）的特征（9）家庭和住所护理状况。